Healthy Schools Program Assessment Guide

Healthy Schools Program – Assessment Guide Use this document to help navigate the Healthy Schools Program Assessment. The tips on who in your school or district may have the answers can help to accurately complete the assessment and develop your action plan. An answer of “3” qualifies a school for a level except where otherwise noted i.e. Bronze (2). Note: Questions marked with an * may be answered at the District Level and are part of the District Assessment.

School Health and Safety Policies and Environment People Who Evidence of Success Will Likely Level Question Level of Completion Know Bronze (2) Representative 3 = Yes. Princip Identify the name, position title, contact al school health 2 = There is a committee or team that does this, but it number and email address of the school School committee or could be more representative. official responsible for oversight of the Wellne Local Wellness Policy. team: 1 = There is a committee or team, but it is not ss Does your representative, or it meets less often than four Commi Provide at least 4 dates when the times a year. ttee school have a school wellness committee (SWC) met Chairp representative 0 = No. or plans to meet during this school year. committee or erson team that meets at least four Nation times a year al and oversees Advisor school health : Shann and safety on policies and Vogler programs? Dana Robert s Stepha nie Joyce Michell e Owens Healthy Schools Program Assessment Guide

People Who Evidence of Success Will Likely Level Question Level of Completion Know Bronze (2) Local wellness 3 = Yes, our school has implemented all of these Princip Provide your building or district wellness policies: components. al policy and the building level procedures District that demonstrate implementation of the 2 = Our school has implemented most of these Has your school Food wellness policy. components. implemented all Service of the following 1 = Our school has implemented a few of these Directo components of components. r the district’s School 0 = No, we have not implemented any of these Wellne local wellness components, or our policy does not include any of ss policy? these components, or our district does not have a Commi . Nutrition local wellness policy. ttee education and Chairp promotion erson activities . Physical activity opportunities . Nutrition Nation standards for all al foods and Advisor beverages : available on each Shann school campus on during the school day that meet or Vogler exceed the Dana USDA’s Robert requirements for s school meals and Stepha competitive foods nie and beverages Joyce . Marketing and Michell advertising of e only those foods and beverages Owens that meet the USDA Smart Snacks in School

Assessment Guide – Effective December 2016 2 of 48 Healthy Schools Program Assessment Guide

People Who Evidence of Success Will Likely Level Question Level of Completion Know nutrition standards on school campus. . Other school- based activities that promote student wellness . Permit parents, students, representatives of the school food authority, teachers of physical education, school health professionals, the school board, school administrators, and the general public to participate in the development, implementation, and review and update of the local wellness policy. Regular reporting on content and implementation to the public (including parents, students, and community members) . Periodic

People Who Evidence of Success Will Likely Level Question Level of Completion Know measuremen t of school compliance with the local wellness policy and progress updates made available to the public . Designation of a lead school official to ensure compliance with local wellness policy

NOTE: By the start of the 2006-2007 school year, every school district participating in the federal meal program was required to establish a local school wellness policy. This requirement was updated in 2010 placing greater emphasis on evaluation and sharing progress of local wellness policy implementation with the public. Your school health team should review your district's policy before completing this question. Bronze Recess 3 = Yes. Princip Provide master schedule (Elementary Only): al 2 = Recess is provided for at least 20 minutes each demonstrating 20 minutes of Are students School day, but teachers or recess monitors do not provided at least 20 Wellne recess per day per grade level.

People Who Evidence of Success Will Likely Level Question Level of Completion Know minutes of recess encourage students to be active. ss (elementary only). during each school Commi 1 = Recess is provided each day but for less than 20 Note: Recess should be clearly identified separate day, and do ttee minutes, or it is provided on some days but not on from physical education or classroom physical teachers or recess Chairp all days. activity breaks. monitors erson encourage students 0 = Recess is not provided on any day. to be active? Nation al Advisor s: Lisa Perry Sean Brock Eric Larson Bronze Access to free 3 = Yes, students can access water fountains or water Princip No documentation required. drinking water: filling stations throughout the school day, and they al Does your school are allowed to bring filled containers to class. School make safe, Wellne 2 = Students can access water fountains or water unflavored, drinking ss filling stations throughout the school day, but they water available Commi are not allowed to bring filled containers to class. throughout the ttee school day at no 1 = Students have limited access to water fountains or Chairp cost to students? water filling stations throughout the school day. erson Custodi 0 = No, students do not have access to free, safe, an unflavored, drinking water.

Nation al Advisor :

People Who Evidence of Success Will Likely Level Question Level of Completion Know Carol Chong

Bronze All foods sold 3 = Yes, all competitive foods sold meet or exceed the Princip 1. Complete Chart 105. List all during the school USDA’s Smart Snacks in School nutrition al foods sold to students on day meet the standards, or we do not sell competitive foods at School USDA’s Smart our school. Food school campus during the Snacks in School Service school day, including vending, 2 = Most competitive foods sold meet or exceed the nutrition standards: /Cafete school stores, snack or food USDA’s Smart Snacks in School nutrition Do all competitive ria standards. carts. For each food listed, foods sold to Manag indicate if the product was students during the 1 = Some competitive foods sold meet or exceed the er found in the Smart Food school day meet or USDA’s Smart Snacks in School nutrition District exceed the USDA’s standards. Food Planner or that compliance nutrition standards Service was verified using the Smart 0 = No, no competitive foods sold meet or exceed the for all foods sold to Directo Snacks Product Calculator. students USDA’s Smart Snacks in School nutrition r standards. (commonly called 2. In lieu of required Charts 105 and 106, Smart Snacks in schools may upload HUSSC: Smarter Lunchrooms certificate issued April 2015 or School)? This after. includes a la carte, Nation vending, school al If your school sells NO individual stores, snack or Advisor food items in vending machines, food carts, and any : school stores, snack carts AND food based Stepha fundraising (school nie in-school fundraising please follows fundraising Joyce check box in application. exemptions and Jill 2. How many exempt food and guidance set by Turley their State agency, beverage fundraising days which also must per school year are allowed at adhere to the your school, as outlined by federal Smart your State Agency or Snacks in School requirements). wellness policy?

People Who Evidence of Success Will Likely Level Question Level of Completion Know 3. Please describe below ALL in- school fundraisers held during the school day. Each fundraiser must include the following information: type of fundraiser, group for whom the proceeds benefit, what service or product is sold, are foods and/or beverages sold to students, and how many days the fundraiser runs. EXAMPLE: Valentine’s Day fundraiser for student council, flowers sold, no foods and beverages, lasts 3 days. NOTE: For the purposes of a National Healthy Schools Award from the Alliance for a Healthier Generation, exempt food and beverage fundraising days may not exceed 10 days per school year (or the number set by your State Agency, whichever is less). Bronze All beverages sold 3 = Yes, all competitive beverages sold meet or Princip Complete Chart 106. List all beverages during the school exceed the USDA’s Smart Snacks in School al sold to students on school campus day meet the nutrition standards, or we do not sell competitive School during the school day, including USDA’s Smart beverages at our school. Food vending, school stores, snack or food Snacks in School Service carts. For each beverage listed, indicate 2 = Most competitive beverages sold meet or exceed nutrition standards: /Cafete if the product was found in the Smart the USDA’s Smart Snacks in School nutrition Do all competitive ria Food Planner or that compliance was standards. beverages sold to Manag verified using the Smart Snacks Product students during the 1 = Some competitive beverages sold meet or exceed er Calculator. school day meet or the USDA’s Smart Snacks in School nutrition District 4. If your school sells NO exceed the USDA’s standards. Food individual beverages in vending

People Who Evidence of Success Will Likely Level Question Level of Completion Know nutrition standards 0 = No, no competitive beverages sold meet or Service machines, school stores, snack carts for all beverages exceed the USDA’s Smart Snacks in School Directo AND in-school fundraising, please sold to students nutrition standards. r check box in application. (commonly called Athletic Smart Snacks in Directo School)? This r includes a la carte, School vending, school Store stores, snack or Manag food carts, and any er food based PTA/PT fundraising (school O follows fundraising exemptions and guidance set by Nation their State agency, al which also must Advisor adhere to the : federal Smart Stepha Snacks in School nie requirements). Joyce Jill Turley

Silver Prohibit using 3 = Yes, using physical activity as punishment and Princip 1. Indicate how this practice is physical activity withholding physical education class as al communicated to staff, students, punishment are prohibited, and both prohibitions School and parents (check all that apply): as punishment: are consistently followed. Wellne a. District or building policy Does the school ss 2 = One of these practices is prohibited, and this b. Student/staff/parent handbook prohibit using Commi prohibition is consistently followed. c. Posting on district or school ttee physical activity website. and withholding 1 = One or both of these practices is prohibited, but Chairp this prohibition is not consistently followed. erson physical 2. Upload an example of one of the education class 0 = Neither practice is prohibited. items you checked above to

People Who Evidence of Success Will Likely Level Question Level of Completion Know as punishment? Nation demonstrate how this practice is Is this al communicated to staff, students Advisor and parents. prohibition s: consistently Lisa followed? Perry NOTE: Please do not Sean consider issues related Brock to participation in interscholastic sports Eric programs when Larson answering this question.

Silver Prohibit withholding 3 = Yes, withholding recess as punishment is a written Princip 1. Indicate how this practice is recess as policy and this prohibition is consistently followed. al communicated to staff, punishment School 2 = Yes, withholding recess as punishment is (Elementary Only): Wellne students, and parents (check prohibited and this prohibition is consistently Does your school ss all that apply): followed. prohibit withholding Commi a. District or building policy recess as 1 = Yes, withholding recess as punishment is ttee punishment? Is this prohibited but this prohibition is not consistently Chairp b. Student/staff/parent prohibition followed. erson handbook consistently c. Posting on district or 0 = This practice is not prohibited. followed? school website Nation al Advisor 2. Provide an example of one of s: the items you checked above Lisa to demonstrate how this Perry practice is communicated to Sean staff, students and parents. Brock Eric Larson

Silver Prohibit using food 3 = Yes, using food as a reward and withholding food Princip 1. Indicate how this practice is

People Who Evidence of Success Will Likely Level Question Level of Completion Know as reward or as punishment are prohibited, and both al communicated to staff, punishment: prohibitions are consistently followed. School students, and parents (check Does your school Wellne 2 = One of these practices is prohibited, and this prohibit giving ss all that apply): prohibition is consistently followed. students food as a Commi a. District or building policy reward and 1 = One or both of these practices is prohibited, but ttee b. Student/staff/parent withholding food as this prohibition is not consistently followed. Chairp punishment? Is this erson handbook prohibition 0 = Neither practice is prohibited. c. Posting on district or school consistently website followed? Nation al 2. Provide an example of one of Advisor : the items you checked above Stepha to demonstrate how this nie practice is communicated to Joyce staff, students and parents. Jill The policy, handbook or Turley website should clearly define that no food is ever used as a reward or punishment. Note: School website may also be used to verify practice is consistently followed.

Silver All foods & 3 = Yes, all foods and beverages served and offered Princip 1. Indicate how this practice is beverages served meet or exceed the USDA’s Smart Snacks in al, communicated to staff, and offered during School nutrition standards, or we do not serve or School the school day offer additional foods or beverages at our school. Food students, and parents (check meet the USDA’s Service all that apply): 2 = Most foods and beverages served and offered Smart Snacks in /Cafete a. District or building policy School nutrition meet or exceed the USDA’s Smart Snacks in ria standards: School nutrition standards. Manag b. Student/staff/parent Do all foods and er, handbook 1 = Some foods and beverages served and offered beverages served District

People Who Evidence of Success Will Likely Level Question Level of Completion Know and offered to meet or exceed the USDA’s Smart Snacks in Food c. Posting on district or school students during the School nutrition standards. Service website school day meet or Directo exceed the USDA’s 0 = No, no foods and beverages served and offered r, Smart Snacks in meet or exceed the USDA’s Smart Snacks in Classro 2. Provide an example of one of School nutrition School nutrition standards. om the items you checked above standards? This teacher to demonstrate how this includes snacks s practice is communicated to that are not part of a federally staff, students and parents. reimbursed child Nation The policy, handbook or nutrition program, al website should clearly define birthday parties, Advisor that foods and beverages holiday parties, : served and offered as snacks and school-wide Stepha (that are not part of a celebrations. nie Joyce federally reimbursed child Jill nutrition program), birthday Turley parties, holiday celebrations or school-wide celebrations must meet the Smart Snacks in School nutrition standards. *Only TWO exemptions per SCHOOL YEAR are allowed. This must also be clearly defined. Note: School website may also be used to verify practice is consistently followed. Silver All foods & 3 = Yes, all foods and beverages sold during the Princip 1. Indicate how this practice is beverages sold extended school day meet or exceed the USDA’s al, communicated to staff, during the Smart Snacks in School nutrition standards, or we School extended school do not sell foods and beverages during the Food students, and parents (check day meet the extended school day at our school. Service all that apply): USDA’s Smart /Cafete 2 = Most foods and beverages sold during the a. District or building policy Snacks in School ria

People Who Evidence of Success Will Likely Level Question Level of Completion Know nutrition standards: extended school day meet or exceed the USDA’s Manag b. Student/staff/parent Do all foods and Smart Snacks in School nutrition standards. er, handbook beverages sold to District 1 = Some foods and beverages sold during the students during the Food c. Posting on district or school extended school day meet or exceed the USDA’s extended school Service website Smart Snacks in School nutrition standards. day meet or Directo exceed the USDA’s 0 = No, no foods and beverages sold during the r, After 2. Provide an example of one of Smart Snacks in extended school day meet or exceed the USDA’s school the items you checked above School nutrition Smart Snacks in School nutrition standards. progra standards? This m staff to demonstrate how this includes vending practice is communicated to machines, school Nation staff, students and parents. stores, and snack al The policy, handbook or or food carts. Advisor website should clearly define : Stepha that foods and beverages nie sold during the extended Joyce school day meet Smart Jill Snacks in School nutrition Turley standards, including vending machines, school stores, snack carts, and fundraising that occurs during the school day.

If your school sells NO individual food items or beverages in vending machines, school stores, snack carts AND fundraising during the extended school day, please check box in application.

People Who Evidence of Success Will Likely Level Question Level of Completion Know Note: School website may also be used to verify practice is consistently followed. Silver All foods & 3 = Yes, all foods and beverages served and offered Princip *Extended school day: time during beverages served during the extended school day meet or exceed al, before and afterschool activities that and offered during the USDA’s Smart Snacks in School nutrition School includes clubs, intramural sports, band the extended standards, or we do not sell foods and beverages Food and choir practice, drama rehearsals, school day meet during the extended school day at our school. Service etc. the USDA’s Smart /Cafete 2 = Most foods and beverages served and offered 1. Indicate how this practice is Snacks in School ria during the extended school day meet or exceed communicated to staff, students, nutrition standards: Manag the USDA’s Smart Snacks in School nutrition and parents (check all that apply): Do all foods and er, standards. beverages served District a. District or building policy and offered to 1 = Some foods and beverages served and offered Food b. Student/staff/parent handbook students during the during the extended school day meet or exceed Service c. Posting on district or school website extended school the USDA’s Smart Snacks in School nutrition Directo day meet or standards. r, After 2. Provide an example of one of the exceed the USDA’s School items you checked above to 0 = No, no foods and beverages served and offered Smart Snacks in Progra demonstrate how this practice is during the extended school day meet or exceed School nutrition m staff communicated to staff, students the USDA’s Smart Snacks in School nutrition standards? This and parents. The policy, handbook standards. includes snacks or website should clearly define that that are not part of Nation foods and beverages served and a federally al offered as snacks (that are not part reimbursed child Advisor of a federally reimbursed child nutrition program, : nutrition program), birthday parties, birthday parties, Stepha holiday celebrations or school-wide holiday parties, and nie celebrations during the extended school-wide Joyce school day must meet the Smart celebrations. Jill Snacks in School nutrition Turley standards.

If your school serves or offers NO individual food items or beverages through snacks (that are not part of a federally reimbursed child nutrition

People Who Evidence of Success Will Likely Level Question Level of Completion Know program), birthday parties, holiday parties or school-wide celebrations during the extended school day, please check box in application. Gold Access to 3 = Yes, both indoor and outdoor facilities are Princip Upload the written joint-use or shared- physical activity available. al, use agreement that provides access to School physical activities outside school hours. 2 = Indoor or outdoor facilities, but not both, are facilities outside Wellne available. OR school hours: ss Are indoor and 1 = Indoor or outdoor facilities are available, but the Commi List the indoor and outdoor physical outdoor physical hours of availability are very limited. ttee activity facilities (i.e. gymnasium, track, Chairp basketball courts, playground, weight activity facilities 0 = No, neither indoor nor outdoor facilities are erson, room, etc.) that are open to students, open to available. Custodi their families, and the community students, their an, outside of school hours. families, and the After community School outside school Staff hours? NOTE: Making facilities open and available to Nation students, their families, al and the community Advisor outside of school hours s: can be conducted as a regular practice or Lisa through a formal, written Perry joint or shared use Sean agreement. A joint use Brock or shared use agreement is a formal Eric agreement between a Larson school or school district and another public or private entity to jointly use either school facilities or community facilities to share costs and responsibilities.

People Who Evidence of Success Will Likely Level Question Level of Completion Know Gold Fundraising efforts 3 = Yes, all fundraising efforts sell only non-food Princip 1. Indicate how this practice is during and outside items, or all foods and beverages sold as al, communicated to staff, students, school hours meet fundraisers meet or exceed the USDA’s Smart School and parents (check all that apply): the USDA’s Smart Snacks in School nutrition standards. Store a. District or building policy Snacks in School Manag 2 = Most fundraising efforts sell only non-food items, b. Student/staff/parent handbook nutrition standards: er, or most foods and beverages sold as fundraisers c. Posting on district or school website Do fundraising PTA/PT meet or exceed the USDA’s Smart Snacks in efforts during and O, School nutrition standards. 2. Provide an example of one of the outside school Athletic items you checked above to hours sell only 1 = Some fundraising efforts sell only non-food items, director demonstrate how this practice is non-food items or or some foods and beverages sold as fundraisers communicated to staff, students only foods and meet or exceed the USDA’s Smart Snacks in and parents. The policy, beverages that School nutrition standards. Nation student/parent handbook, or meet or exceed the al 0 = No, no fundraising efforts sell only non-food items, website should clearly define that USDA’s Smart Advisor or no foods and beverages sold as fundraisers ALL fundraising outside school Snacks in School : meet or exceed the USDA’s Smart Snacks in hours consist of only non-food nutrition standards? Stepha School nutrition standards. fundraising or only foods and This may include, nie beverages that meet the Smart but is not limited to, Joyce Snacks in School Nutrition donation nights; Jill Standards. cookie dough, Turley candy, and pizza 3. Please describe ALL fundraisers sales; market days; held outside school hours. Each etc. fundraiser must include the following information: type of fundraiser, group for whom the proceeds benefit, what service or product is sold, are foods and/or beverages sold to students, and when the fundraiser occurs. EXAMPLE: Community 5K for all school groups, entry to race, no foods and beverages are sold, occurs on a Saturday morning.

Health Education Peo Evidence of Success ple Wh o Will Like ly Kno Level Question Level of Completion w Bronze 201 Health Education taught in all grades 3 = Yes, in all grades. Principal, Confirm health education is (Elementary Only): District taught in all grades. Describe how 2 = In most grades. Do students receive health education Curriculum health education is taught, the instruction in all grades? 1 = In some grades. Director or quantity per week or grading Health period and identify the essential 0 = In no grades. Education topics on physical activity and Specialist, healthy eating that are covered in Health each grade. Education Teacher, Classroom teachers

National Advisors: Lisa Perry Bronze (2) 202 Required health education 3 = Yes. Principal, Provide documentation (student District handbook, high school graduation course (Middle and High Only): 2 = Students are required to take one Curriculum requirements, wellness policy,) that course, but they do not have to take Does the school or district Director or states the health education it again if they fail it (see note). require all students to take and Health requirements, how health education pass at least one health 1 = No, but there is an elective health Education is delivered and identify the education course? education course. Specialist, essential topics on physical NOTE: If your school has more than four Health activity and healthy eating grade levels (e.g., grades 7-12), answer this Education covered in each course for

question instead: “Does the school require all 0 = No. Teacher middle/high school students. students to take and pass at least two health education courses?” and for answer response 2 replace “one course” with “two courses.” National Advisors: Lisa Perry

Bronze (2) 203 Essential topics on physical 3 = Yes, addresses all of these topics. Principal, No documentation required. District activity: 2 = Addresses most of these topics. Does the health education Curriculum 1 = Addresses some of these topics. Director or curriculum address all of these Health topics on physical activity? 0 = Addresses one or none of these Education topics, or there is no health Specialist, . The physical, education curriculum. psychological, or social Health Education benefits of physical activity Teacher, . How physical activity Classroom can contribute to a healthy teacher weight National . How physical activity Advisors: can contribute to the Lisa Perry academic learning process . How an inactive lifestyle contributes to chronic disease . Health-related fitness, that is, cardiovascular endurance, muscular endurance, muscular strength, flexibility, and body composition . Differences between physical activity, exercise, and fitness . Phases of an exercise

session, that is, warm up, workout, and cool down . Overcoming barriers to physical activity . Decreasing sedentary activities, such as TV watching . Opportunities for physical activity in the community . Preventing injury during physical activity . Weather-related safety, for example, avoiding heat stroke, hypothermia, and sunburn while physically active . How much physical activity is enough, that is, determining frequency, intensity, time, and type of physical activity . Developing an individualized physical activity and fitness plan . Monitoring progress toward reaching goals in an individualized physical activity plan . Dangers of using performance-enhancing drugs, such as steroids

. Social influences on physical activity, including media, family, peers, and culture . How to find valid information or services related to physical activity and fitness . How to influence, support, or advocate for others to engage in physical activity . How to resist peer pressure that discourages physical activity NOTE: Consider using CDC’s Health Education Curriculum Analysis Tool (HECAT), which is designed to help school districts and schools conduct a clear, complete, and consistent analysis of written health education curriculum. HECAT results can help districts and schools enhance, develop, or select appropriate and effective health education curricula. The HECAT assesses how consistent curricula are with national standards and can assist users in determining if the curriculum being analyzed is sequential. Bronze (2) 204 Essential topics on healthy 3 = Yes, addresses all of these topics. Principal, No documentation required. District eating: 2 = Addresses most of these topics. Does your health education Curriculum 1 = Addresses some of these topics. Director or curriculum addresses all of Health these essential topics on 0 = Addresses one or none of these Education topics, or there is no health healthy eating? Specialist, education curriculum. Health . The relationship between Education healthy eating and personal Teacher, health and disease Classroom

prevention teachers . Food guidance from National MyPlate Advisor: . Reading and using food Stephanie labels Joyce . Eating a variety of foods Jill Turley every day . Balancing food intake and physical activity . Eating more fruits, vegetables and whole grain products . Choosing foods that are low in fat, saturated fat, and cholesterol and do not contain transfat . Choosing foods and beverages with little added sugars . Eating more calcium-rich foods . Preparing healthy meals and snacks . Risks of unhealthy weight control practices . Accepting body size differences . Food safety . Importance of water consumption . Importance of eating breakfast

. Making healthy choices when eating at restaurants . Eating disorders . The Dietary Guidelines for Americans . Reducing sodium intake . Social influences on healthy eating, including media, family, peers, and culture . How to find valid information or services related to nutrition and dietary behavior . How to develop a plan and track progress toward achieving a personal goal to eat healthfully . Resisting peer pressure related to unhealthy dietary behavior . Influencing, supporting, or advocating for others’ healthy dietary behavior

NOTE: Consider using CDC’s Health Education Curriculum Analysis Tool (HECAT), which is designed to help school districts and schools conduct a clear, complete, and consistent analysis of written health education curriculum. HECAT results can help districts and schools enhance, develop, or select appropriate and effective health education curricula. The HECAT assesses how consistent curricula are with national standards and can assist users in determining if the curriculum being analyzed is sequential.

Silver & *205 Sequential health education 3 = Yes. Principal, Upload district or school Gold District curriculum consistent with 2 = Some teachers use a sequential curriculum or pacing guide Curriculum health education curriculum, and it is standards: Director or that identifies topics taught consistent with state or national Do all teachers of health Health in each grade and indicates standards. education use an age- Education alignment to state or appropriate sequential health 1 = Some teachers use a sequential Specialist, national standards. education curriculum that is health education curriculum, but it is Health Essential topics on healthy consistent with state or not consistent with state or national Education eating and physical standards. Teacher national standards for health activity must be included. education (see standards 0 = None do, or the curriculum is not National sequential, or there is no health below)? Advisor: Note: Do not upload district or state education curriculum standard documents. NOTE: Consider using CDC’s Health Lisa Perry Education Curriculum Analysis Tool (HECAT), which is designed to help school districts and schools conduct a clear, complete, and consistent analysis of written health education curriculum. HECAT results can help districts and schools enhance, develop, or select appropriate and effective health education curricula. The HECAT assesses how consistent curricula are with national standards and can assist users in determining if the curriculum being analyzed is sequential. NATIONAL HEALTH EDUCATION STANDARDS 1. Students will comprehend concepts related to health promotion and disease prevention to enhance health. 2. Students will analyze the influence of family, peers, culture, media, technology, and other factors on health behaviors. 3. Students will demonstrate the ability to access valid information and products and services to enhance health. 4. Students will demonstrate the ability to use interpersonal communication skills to enhance health and avoid or reduce health risks. 5. Students will demonstrate the ability to use decision-making skills to enhance health.

6. Students will demonstrate the ability to use goal-setting skills to enhance health. 7. Students will demonstrate the ability to practice health-enhancing behaviors and avoid or reduce health risks. 8. Students will demonstrate the ability to advocate for personal, family, and community health. Joint Committee on National Health Education Standards. National health education standards: achieving excellence, 2nd edition. 2007. Silver & 206 Opportunities to practice skills: 3 = Yes, all do. Principal, Confirm all teachers of health Gold Do all teachers of health education Health education provide opportunities to 2 = Most do. provide opportunities for students to Education practice or rehearse the skills practice or rehearse the skills needed 1 = Some do. Teacher, needed to maintain and improve District their health. Provide a narrative to maintain and improve their health? 0 = None do, or no one teaches health Curriculum that describes examples of skill education. Specialist practice in healthy eating and physical activity. National Advisor: Lisa Perry Silver & *207 Professional development in health 3 = Yes, all do. Principal, List the dates and topics of Gold education: Health 2 = Most do. health education Do all teachers of health education Education professional development participate at least once a year in 1 = Some do. Teacher, professional development in health District related to the essential education? 0 = None do, or no one teaches health Curriculum topics of physical activity education. Specialist and healthy eating completed by all teachers National Advisor: delivering health education. Lisa Perry Acceptable trainings are delivered by an Alliance Content Expert; state department of health and/or education; SHAPE America; Society of Public Health

Education; or another professional development provider. NOTE: First aid and CPR trainings do not meet this requirement.

Physical Education and Other Physical Activity Programs Peo Evidence of Success ple Wh o Will Like ly Kno Level Question Level of Completion w Bronze (1) 301 Minutes of physical education 3 = Yes. Principal, All applicants must submit a Silver (2) Physical per week (Elementary Only): 2 = 90-149 minutes per week for all master schedule for Gold (3) Education students in each grade throughout Do all students in each grade Teacher physical education. The receive physical education for the school year. schedule must identify the at least 150 minutes per week 1 = 60-89 minutes per week for all National name of the physical throughout the school year? students in each grade throughout Advisors: education teacher, the NOTE: Physical education classes should be the school year. Lisa Perry classroom teachers’ names spread over at least three days per week, with Eric Larson daily physical education preferable. 0 = Fewer than 60 minutes per week or Sean Brock and the start and stop time not all students receive physical for each class. education throughout the school year. If the physical education curriculum is delivered by a classroom teacher at the Bronze or Silver level, this time must occur during the school day and appear on the master schedule as Physical Education. If you are applying for Gold, all PE

must be taught by licensed teachers who are certified or endorsed to teach PE. NOTE: Schools may be asked to document additional information, such as: alignment to PE standards, how learning is assessed and the dates all instructors received professional development on fitness education. Bronze (1) 302 Years of physical education (Middle 3 = The equivalent of all academic years Principal, Provide documentation (student Silver (2) and High Only): of physical education. Physical handbook, high school graduation Gold (3) How many years of physical Education requirements or wellness policy), education are students at this school Teacher that states the physical education required to take? 2 = The equivalent of at least one requirements for middle/high school academic year but less than all National students. academic years of physical Advisors: education. Lisa Perry Eric Larson Sean Brock 1 = The equivalent of one-half academic year of physical education.

0 = The equivalent of less than one-half academic year of physical education or students are not required to take physical education at this school. Bronze *30 Sequential physical education 3 = Yes. Principal, Upload district or school 3 Physical curriculum consistent with 2 = Some use a sequential physical curriculum or pacing guide Education education curriculum, and it is standards: Teacher, that identifies topics taught consistent with state or national Do all teachers of physical District in each grade and indicates standards. education use an age- Curriculum alignment to state or appropriate, sequential 1 = Some use a sequential physical Specialist national standards. Do not physical education curriculum education curriculum, but it is not upload district or state that is consistent with national consistent with state or national National standards documents. standards. Advisors: or state standards for physical Lisa Perry

education (see national 0 = None do, or the curriculum is not Eric Larson NOTE: The PECAT is not acceptable documentation for this criteria. Please do standards)? sequential, or there is no physical Sean Brock not submit a blank and/or completed copy. NOTE: Consider using CDC’s Physical education curriculum Education Curriculum Analysis Tool (PECAT), which is designed to help school districts and schools conduct a clear, complete, and consistent analysis of written physical education curriculum. PECAT results can help districts and schools enhance, develop, or select appropriate and effective physical education curricula for delivering high-quality physical education in schools. The PECAT assesses how consistent curricula are with national standards and can assist users in determining if the curriculum being analyzed is sequential. NATIONAL STANDARDS FOR PHYSICAL EDUCATION A physically literate individual: 1. Demonstrates competency in a variety of motor skills and movement patterns. 2. Applies knowledge of concepts, principles, strategies, and tactics related to movement and performance. 3. Demonstrates the knowledge and skills to achieve and maintain a health-enhancing level of physical activity and fitness. 4. Exhibits responsible personal and social behavior that respects self and others. 5. Recognizes the value of physical activity for health, enjoyment, challenge, self- expression and/or social interaction. National Standards & Grade-Level Outcomes for K-12 Physical Education (SHAPE America & Human Kinetics, 2014) Bronze 304 Health-related physical fitness: 3 = Yes, all 3 components of the PYFP Principal, The items below are Does the school’s physical education are integrated. Physical components of the program integrate the components of Education 2 = 2 of the PYFP components are the Presidential Youth Fitness Teacher Presidential Youth Fitness integrated. Program? Program. Please indicate . Fitness assessment using 1 = 1 of the PYFP components is National the specific assessments Fitnessgram® integrated. Advisors: the school has completed: . Professional development for Lisa Perry

physical education teachers on 0 = None of the PYFP components are Eric Larson proper use and integration of integrated. Sean Brock . Pacer fitness education, fitness (recommended) assessment, and recognition. . One mile run . Recognition of students meeting Healthy Fitness Zones or their (alternative) physical activity goals. . Walk test VO2 max (alternative for secondary students) . Body Max Index . Curl-up (recommended) . Trunk Lift (recommended) . Push-up (recommended) . Modified Pull-up (alternative) . Flexed Arm Hang (alternative) . Back Saver Sit and Reach (optional) . Shoulder Stretch (optional) All instructors who deliver physical education must complete professional development that focuses on proper use and integration of fitness education, fitness assessment, and recognition.

Provide the date, title of training, and list of teachers who teach physical education who attended the physical education professional development.

NOTE: First aid and CPR trainings do not meet this requirement. Bronze 305 Promotes community physical 3 = Yes, through three or more methods. Principal, Identify at least three of activities: School 2 = The program promotes participation the following methods Does the school’s physical education Wellness in a variety of community physical program use three or more methods Committee physical education activity options, but through only one to promote student participation in a Chairperson, teachers use to promote or two methods. variety of community physical activity Physical student participation in a options? 1 = The program promotes participation Education variety of community in only one type of community Teacher physical activity options: physical activity option. . Class discussions National . Bulletin boards 0 = The program does not promote Advisors: participation in community physical . Public address Lisa Perry announcements activity options, or there is no Eric Larson physical education program. . Guest speakers Sean Brock . Take home flyers . Homework Assignments . Newsletter articles

Bronze 306 Addresses special health care needs: 3 = Yes, the physical education program Principal, Identify at least 7 appropriate Does the school’s physical education uses all or most of these instructional Physical practices to include students with program consistently use all or most practices consistently. Education special health care needs during of the following practices as Teacher, physical education instruction. 2 = The physical education program uses appropriate to include students with Special some of these instructional practices special health care needs? Education .Encouraging active consistently. . Encouraging active participation; Teachers participation; modifying type, modifying type, intensity, and 1 = The physical education program uses intensity, and length of activity if length of activity if indicated in some of these instructional practices, National indicated in Individualized Individualized Education Plans, but not consistently (that is, not by all Advisors: Education Plans, asthma action asthma action plans, or 504 plans teachers or not in all classes that Lisa Perry plans, or 504 plans

. Offering adapted physical include students with special health Eric Larson .Offering adapted physical education classes care needs). Sean Brock education classes . Using modified equipment and .Using modified equipment and 0 = The program uses none of these facilities facilities practices, or there is no physical . Ensuring that students with .Ensuring that students with education program. chronic health conditions are fully chronic health conditions are fully participating in physical activity as participating in physical activity as appropriate and when able appropriate and when able . Monitoring signs and symptoms .Monitoring signs and symptoms of chronic health conditions of chronic health conditions . Encouraging students to carry .Encouraging students to carry and self-administer their and self-administer their medications (including pre- medications (including pre- medicating and/or responding to medicating and/or responding to asthma symptoms) in the gym asthma symptoms) in the gym and on playing fields; assisting and on playing fields; assisting students who do not self-carry students who do not self-carry . Encouraging students to actively .Encouraging students to actively engage in self-monitoring (i.e., engage in self-monitoring (i.e., using a peak flow meter, using a peak flow meter, recognizing triggers) in the gym recognizing triggers) in the gym and on playing fields (if the and on playing fields (if the parent/guardian, health care parent/guardian, health care provider, and school nurse so provider, and school nurse so advise) advise) . Using a second teacher, aide, .Using a second teacher, aide, physical therapist, or physical therapist, or occupational occupational therapist to assist therapist to assist students, as students, as needed needed . Using peer teaching (e.g., .Using peer teaching (e.g., teaming students without special teaming students without special health care needs with students health care needs with students who have such needs) who have such needs)

Bronze (2) 307 Promotion or support of walking and 3 = Yes, our school promotes or supports Principal, Confirm that the school utilizes at bicycling to school: walking and bicycling to school in all School least 3 of the following strategies Does the school promote or support six or more of these ways. Wellness in promoting or supporting walking and bicycling to school in the Committee walking and bicycling to school. 2 = Our school promotes or supports following ways? Chairperson

. Designation of safe or preferred walking and bicycling to school in .Secure storage facilities for routes to school three to five of these ways. National bicycles and helmets (e.g., shed, . Promotional activities such as Advisors: cage, fenced area) 1 = Our school promotes or supports participation in International Walk Lisa Perry .Designation of safe or preferred walking and bicycling to school in to School Week, National Walk Eric Larson routes to school one to two of these ways. and Bike to School Week Sean Brock .Promotional activities such as . Secure storage facilities for 0 = Our school does not promote or participation in International Walk bicycles and helmets (e.g., shed, support walking and bicycling to to School Week, National Walk cage, fenced area) school. and Bike to School Week . Instruction on walking/bicycling .Instruction on walking/bicycling safety provided to students safety provided to students . Promotion of safe routes program .Promotion of safe routes to students, staff and parents via program to students, staff and newsletters, websites, local parents via newsletters, websites, newspaper local newspaper . Crossing guards are used .Crossing guards are used . Crosswalks exist on streets .Crosswalks exist on streets leading to schools leading to schools . Walking school buses are used .Walking school buses are used . Bicycle parking is provided (e.g., .Bicycle parking is provided (e.g., bicycle rack) bicycle rack) . Documentation of number of .Documentation of number of children walking and or biking to children walking and or biking to and from school and from school . Creation and distribution of maps .Creation and distribution of of school environment (sidewalks, maps of school environment crosswalks, roads, pathways, (sidewalks, crosswalks, roads, bike racks, etc.) pathways, bike racks, etc.)

Bronze (2) 308 Availability of before- and after-school 3 = Yes. Both before and after the school Principal, Students of all grade levels must physical activity opportunities: day School be offered either before or Does the school offer opportunities Wellness afterschool opportunities for 2 = Yes. We offer before school or after for students to participate in physical Committee physical activity throughout the school, but not both activity either before or after the Chairperson, school year. school day (or both); for example, 1 = No. We do not offer opportunities for Before/After Please identify the following: through organized physical activities students to participate in physical school or access to facilities or equipment for activity before and after the school program staff Types of activity physical activity? day, but there are plans to initiate it. National Time activities are offered

0 = No. We do not offer opportunities for Advisors: Grade levels students to participate in physical Lisa Perry activity before and after the school Eric Larson day, and there are no plans to initiate Sean Brock it. Bronze (2) 309 Availability of physical activity 3 = Yes, on all days during a typical Principal, Please identify the following: school week School breaks in classrooms: Amount of time dedicated to Wellness 2 = On most days during a typical school physical activity breaks each day. Are all students provided Committee week opportunities to participate in Chairperson, Describe how all teachers physical activity breaks in 1 = On some days during a typical Classroom integrate structured physical classrooms, outside of physical school week teachers activity breaks in the classroom for all students in all grades on education, recess, and class 0 = No, we do not provide students with National most days (at least 3) of the transition periods on all or most opportunities to participate in Advisors: week. days during a typical school physical activity breaks in Lisa Perry week? classrooms Eric Larson NOTE: Physical activity breaks are actual Sean Brock breaks that occur in the academic classroom, allowing students to take a mental and physical break from current academic tasks. These breaks can occur at any time during the school day, last from 5– 30 minutes, and occur all at one time or several times during the school day. Silver 310 Students active at least 50% of class 3 = Yes, during most or all classes. Principal, No documentation required. time: Physical 2 = During about half the classes. Do teachers keep students Education moderately to vigorously active for 1 = During fewer than half the classes. Teacher at least 50% of the time during most or all physical education class 0 = During none of the classes, or there National sessions? are no physical education classes. Advisors: Lisa Perry Eric Larson Sean Brock Silver *311 Professional development for 3 = Yes, all do. Principal, No documentation required. teachers: Physical (provided in 304) 2 = Most do. Are all teachers of physical education Education required to participate at least once a 1 = Some do. Teacher year in professional development in

physical education? 0 = None do, or no one teaches physical National education. Advisors: Lisa Perry Eric Larson Sean Brock

Gold *31 Licensed physical education 3 = Yes, all are. Principal, Provide license information 2 teachers: Physical including teacher name, license 2 = Most classes are. Are all physical education classes Education number, endorsement area and taught by licensed teachers who are 1 = Some classes are. Teacher expiration date for all teachers certified or endorsed to teach who deliver physical education physical education? 0 = No classes are, or there are no National instruction. physical education classes. Advisors: Lisa Perry Eric Larson Sean Brock

Nutrition Services Level Question Level of Completion Peo Evidence of Success ple Wh o Will Like ly Kno w Bronze *40 Breakfast and lunch programs: 3 = Yes. School Food 1. Provide a copy of current six 1 Does the school offer school meals Service/Cafet cent certification, meal 2 = Our school offers breakfast and lunch (both breakfast and lunch) programs eria compliance attestation or programs, but they are not fully that are fully accessible to all Manager, most recent administrative accessible to all students. students? District Food review received from the 1 = Our school offers only a lunch Service State Department of program, but there are plans to add a Director, Education/Agriculture. breakfast program. Principal

0 = Our school offers only a lunch National program and there are no plans to Advisor: add a breakfast program, or the Carol Chong school does not offer a breakfast or a lunch program. Bronze *40 Variety of foods in school 3 = Yes, meets six to eight of these School Food 1. Provide breakfast and 2 meals: criteria for variety. Service/Cafet lunch menus served for eria 2 = Meets three to five of these criteria Do school meals include a Manager, the month just prior to for variety. variety of foods that following District Food application submission. criteria? 1 = Meets one to two of these criteria for Service Note: School website may also be used to Lunch variety. Director verify practice is consistently followed. . Go beyond the National 0 = Meets none of these criteria for National School Lunch Program variety. Advisor: requirements to offer one Carol Chong additional serving per week from any of the 3 vegetable subgroups (dark green, red and orange, dry beans and peas) . Offer a different fruit every day of the week during lunch (100% fruit juice can be counted as a fruit only once per week) . Offer fresh fruit at least 1 day per week . Offer foods that address the cultural practices of the student population . Offer an alternative entrée option at least one time per week that is legume based, reduced fat dairy or fish

based (including tuna) . Offer at least 3 different types of whole grain-rich food items each week

Breakfast . Offer at least 3 different fruits and vegetables each week (100% fruit juice can be counted as a fruit only once per week) . Offer fresh fruit at least 1 day per week

NOTE: A school meal is a set of foods that meets school meal program regulations. This does not include à la carte offerings.

Bronze *40 Promote healthy food and 3 = Yes, healthy food and beverage School Food 1. Identify which techniques are 3 beverage choices using choices are promoted through ten or Service/Cafet used to promote healthy food more of these techniques. eria and beverage choices Smarter Lunchroom Manager, (identify at least ten or more 2 = Healthy food and beverage choices techniques: District Food techniques outlined in the are promoted through five to nine of Are healthy food and beverage Service question). these techniques. Director choices promoted of the 2. Provide one picture or written 1 = Healthy food and beverage choices following techniques? procedure from your school are promoted through one to four of . Whole fruit options are for at least one of the these techniques. National techniques identified. displayed in attractive bowls Advisor: or baskets (instead of 0 = Healthy food and beverage choices Carol Chong are promoted through none of these chaffing dishes or hotel techniques. pans) . Sliced or cut fruit is available daily . Daily fruit options are displayed in a location in

the line of sight and reach of students . All available vegetable options have been given creative or descriptive names . Daily vegetable options are bundled into all grab and go meals available to students . All staff members, especially those serving, have been trained to politely prompt students to select and consume the daily vegetable options with their meal . White milk is placed in front of other beverages in all coolers . Alternative entrée options (salad bar, yogurt parfaits, etc.) are highlighted on posters or signs within all service and dining areas . A reimbursable meal can be created in any service area available to students (e.g., salad bars, snack rooms, etc.) . Student surveys and taste testing opportunities are used to inform menu

development, dining space decor, and promotional ideas . Student artwork supporting nutrition/health education is displayed in the service and/or dining areas. . Daily announcements are used to promote and market menu options . Use students, teachers, or administrators to announce today’s menu in daily announcements. . Brand, name, and decorate the lunchroom in a way that reflects the student body. . Conduct a taste test of a new entrée at least once a year. . Post a monthly menu in the front/main office . Place pre-packed salads or salad bar in a high traffic area. . Label pre-packaged salads or salad bar choices with creative, descriptive names and display next to each choice . Bronze *40 Annual continuing education and 3 = Yes, all food and nutrition services School Food Upload agenda or Certificate of 4 training requirements for school staff meet or exceed the annual Service/Cafet Completion for coursework or nutrition services staff: continuing education/training hours eria training conducted by an Alliance Do all school nutrition program required by the USDA’s Professional Manager, for a Healthier Generation content managers and staff meet or exceed Standards requirements. District Food advisor, ICN, USDA (such as FNS the annual continuing Service or Team Up), state agency or 2 = Most food and nutrition services education/training hours required by Director other professional development

the USDA’s Professional Standards meet or exceed the annual provider. requirements? Topics covered may continuing education/training hours National OR include, but are not limited to, food required by the USDA’s Professional Advisor: Please describe annual training or safety and HACCP, nutrition Standards requirements. Carol Chong continuing education including standards updates in school meals, ALL of the following elements in 1 = Some food and nutrition services food sensitivities and allergies, your description: staff meet or exceed the annual customer service, or food production continuing education/training hours . District/school site techniques. required by the USDA’s Professional Standards requirements. . Meeting date 0 = No, no food and nutrition services . Training topics and USDA staff meet or exceed the annual Professional Standards continuing education/training hours Key Area met required by the USDA’s Professional Standards requirements. . Total training hours met (excluding breaks)

. Title of attendees, such as school nutrition staff, FS Manager, Area Supervisor etc.

Silver *40 Venues outside the cafeteria 3 = Yes, most or all venues outside the Principal, Upload completed chart 105 5 offer fruits and vegetables: cafeteria do. School Food ensuring fruits and vegetables Service/Cafet available in other venues are 2 = About half of the venues do. Do venues outside the eria clearly identified. cafeteria (e.g., vending 1 = Fewer than half of the venues do. Manager, machines, school stores, District Food 0 = None of the venues do. canteens, snack bars, or snack Service or food carts) where food is Director available offer fruits and non- National fried vegetables? Advisor: NOTE: If your school does not have any food Carol Chong venues outside the cafeteria (e.g., vending machines, school stores, canteens, snack bars, or snack or food carts), answer “Yes”. Silver *40 Collaboration between nutrition 3 = Yes, use three or more methods. Principal, 1. Identify which methods are

6 services staff members and teachers: 2 = Use two of these methods. School used to reinforce nutrition Do nutrition services staff members Wellness education lessons taught in 1 = Use one of these methods. use the following methods to Committee the classroom (identify at collaborate with teachers to reinforce 0 = Use none of these methods. Chairperson, least three or more methods nutrition education lessons taught in School Food outlined in the question). the classroom? Service/Cafet . Participate in design and eria implementation of nutrition Manager, education programs District Food . Display educational and Service informational materials that Director reinforce classroom lessons . Provide food for use in classroom National nutrition education lessons Advisor: . Provide ideas for classroom Carol Chong nutrition education lessons . Teach lessons or give presentations to students . Provide cafeteria tours for classes . Tasting party in collaboration with classroom teacher

. Presentation on nutrition and food services to PTA/PTSA/PTO

. Sports nutrition – collaboration with coaches

. Classroom tour of cafeteria or meet and greet with School Nutrition staff

Gold *40 Adequate time to eat school meals: 3 = Yes. (NOTE: If the school does not Principal, 1. Provide a copy of the school 7 Do students have at least 10 minutes have a breakfast program, but does School Food or district policy and/or to eat breakfast and at least 20 provide at least 20 minutes for lunch, Service/Cafet master schedule. (the policy, minutes to eat lunch, counting from you can select this answer.) eria Manager or master schedule should the time they are seated? District Food clearly indicate students get 2 = Have adequate time for breakfast or Service 10 or more minutes for lunch, but not for both.

1 = No, but there are plans to increase Director breakfast and 20 or more the time. minutes for lunch counting National from the time they are 0 = No. Advisor: seated). Carol Chong

Gold *40 Farm to School activities: 3 = Yes, our school is implementing four Principal, 1. Identify the Farm to School 8 Is the school implementing any of the to five of these activities. School Food activities the school is following Farm to School activities? Service/Cafet implementing (identify at least eria four activities outlined in the . Local and/or regional products 2 = Our school is implementing two to Manager, question). are incorporated into the school three of these activities. District Food meal program Service . Messages about agriculture and Director, nutrition are reinforced 1 = Our school is implementing at least School throughout the learning one of these activities. Wellness environment Committee Chairperson . School hosts a school garden 0 = No, our school is not implementing . School hosts field trips to local any of these activities. National farms Advisor: . School utilizes promotions or Carol Chong special events, such as tastings, that highlight the local/regional products . School hosts a farmer’s market (student and parent involvement)

. Menu states local product(s) being served

. Local farmers/producers participate in career day activities

Health Promotion for Staff

Level Question Level of Completion People Who Evidence of Success Will Likely Know Bronze Health assessments for 3 = Yes, health assessments are offered, and all Principal, Provide the date(s) the health staff members: staff members find them accessible and free or School assessment is offered for all staff Does the school or low-cost. Wellness members. district offer staff Committee 2 = Health assessments are offered, but some members accessible Chairperso staff members find them inaccessible or high- and free or low-cost n, School cost. health assessments at Nurse least once a year? 1 = Health assessments are offered, but many staff members find them inaccessible or high- National cost. Advisor: Jill Turley 0 = Health assessments are not offered at least Lisa Perry once a year.

Bronze Programs for staff 3 = Yes. Employee Describe the physical activity/fitness members on physical Wellness programs available to staff. For 2 = Offers physical activity/fitness programs, but activity/fitness: Leader, bronze 1-2 programs are required some staff members find them inaccessible or Does the school or Principal, and Silver and Gold must provide 3- expensive. district offer staff School 4 programs. members accessible 1 = Offers physical activity/fitness programs, but Wellness and free or low-cost many staff members find them inaccessible or Committee physical activity/fitness expensive. Chairperso programs? n, School 0 = Does not offer physical activity/fitness Nurse programs. National Advisor: Jill Turley Lisa Perry Bronze Modeling healthy eating 3 = Yes, our school uses 5 or more of the Employee Identify at least 5 strategies used to and physical activity strategies to support staff to model healthy Wellness support staff to model healthy eating behaviors: eating and physical activity behaviors. Leader, and physical activity behaviors. Does your school use Principal (Identify at least 5 strategies from 2 = Yes, our school uses 3 to 4 of the strategies to the following strategies School those outlined in the question). support staff to model healthy eating and to support staff to model Wellness physical activity behaviors. healthy eating and Committee

physical activity 1 = Yes, our school uses 1-2 of the strategies to Chairperso behaviors? support staff to model healthy eating and n, School . Provide staff with physical activity behaviors. Nurse National information about 0 = No, our school does not use any strategies to Advisors: the importance of support staff to model healthy eating and modeling healthy physical activity behaviors. Jill Turley eating behaviors Lisa Perry . Provide staff with information about the importance of engaging in physical activities with students . Encourage staff not to bring in or consume unhealthy foods and beverages in front of students, in classrooms, or areas common to both staff and students . Provide staff with examples of healthy foods and beverages to bring in or consume during the regular or extended school day . Provide staff with information or strategies on how to

incorporate physical activity into classrooms . Encourage staff to use non-food items, activities, and opportunities for physical activity to recognize students for their achievements or good behavior Silver Promote staff member 3 = Yes, uses three or more of these methods. Employee Identify three or more participation: 2 = Uses two of these methods. Wellness methods used to promote Does the school or Leader, staff member participation: district use three or 1 = Uses one of these methods. more methods to Principal, 0 = Uses none of these methods. 1. Offer wellness activities at promote and encourage School different times of the day/week staff member Wellness to increase participation participation in its health Committee promotion programs? Chairperso 2. Provide incentives for staff . Information at n participation orientation for new School 3. Infuse wellness activities into staff members Nurse staff meetings, celebrations, . Information included and professional development with paycheck trainings National . Flyers posted on Conduct challenges to increase Advisor 4. school bulletin : staff participation boards Jill Turley 5. Environmental supports to . Letters mailed encourage physical activity, directly to staff Lisa Perry such as walking trails, staff . Announcements at sports programs, onsite fitness staff meetings centers, and/or fitness classes, . Articles in staff etc. newsletters 6. Assign wellness ambassadors

. Incentive/reward to help promote programs within programs their respective grade levels or . Public recognition subject areas . Life/health 7. Recognize and promote insurance discounts “wellness champions” who have . Gym or health club succeeded in their own health discounts, such as pursuits or have motivated others YMCA . Posting to a website 8. Offer healthy food selections in or listserv the cafeteria, vending . E-mail messages machines, teachers’ break room and at staff meetings . Positive role modeling by 9. School sponsorship and active administrators or participation in community other leaders health events 10. Organize onsite health fairs/screenings 11. Discuss the wellness program’s respect for the privacy of individual health information 12. Coordinate employee wellness initiatives with benefits department so that incentives are related to health benefit credits or other benefit-related programs

13. Use multiple channels of communication. Examples include:

a. Information at orientation for new staff members b. Posting to a school/district’s website or listserv c. Information included with paycheck d. Flyers posted on school bulletin boards e. Letters emailed directly to staff f. Announcements at staff meetings g. Articles in staff newsletters h. Public recognition

Silver Programs for staff 3 = Yes. Employee Describe all healthy eating/weight members on healthy Wellness management programs offered to 2 = Offers healthy eating/weight management eating/weight Leader, staff by the school or district. For programs, but some staff members find them management: Principal, Silver 1-2 programs are required inaccessible or expensive. Does the school or School and Gold must provide 3-4 district offer staff 1 = Offers healthy eating/weight management Wellness programs. members healthy programs, but many staff members find them Committee eating/weight inaccessible or expensive. Chairperso management programs n, School that are accessible and 0 = Does not offer healthy eating/weight Nurse free or low-cost? management programs National Advisors:

Jill Turley Lisa Perry

Gold All foods served and 3 = Yes, all foods and beverages served and sold Employee Complete and upload the last page sold to staff meet the meet Smart Snacks. Wellness of charts 105 and 106. List all food USDA’s Smart Snacks Leader, and beverage items sold and served 2 = Most foods and beverages served and sold in School Nutrition Principal, at staff meetings, school-sponsored align with Smart Snacks. Standards: School staff events, and in the staff lounge. Do all foods and 1 = Some foods and beverages served and sold Wellness For each food and beverage listed, beverages served and align with Smart Snacks. Committee indicate if the product was found in sold at staff meetings, Chairperso the Smart Food Planner or that school-sponsored staff 0 = No, no foods and beverages align with Smart n, School compliance was verified using the events, and in the staff Snacks. Nurse, Smart Snacks Product Calculator. lounge meet USDA Classroom Smart Snacks in School teachers nutrition standards?

National Advisors: Jill Turley Stephanie Joyce

Family and Community Involvement Level Question Level of Completion People Who Will Likely New Evidence OR Criteria Know Revision Bronze 801 Family and community 3 = Yes, families and community Principal, Explain how families, involvement in school members are actively engaged School Wellness Committee students and in most school decision- Chairperson, community members decision making: making processes. PTA Leader are actively notified of Do families and other 2 = Families and community opportunities to community members help members are actively engaged National Advisor: participate in and with school decision in some school decision- Shannon Vogler receive information on

making? making processes. the development and 1 = Families and community implementation of the NOTE: This question only applies to members are offered wellness policy (such as decision making around health and opportunities to provide input email or displaying wellness addressing areas outlined in into school decision making notices on the district’s the Healthy Schools Program but are not otherwise website). Framework of Best Practices. engaged. 0 = No, families and community members are not engaged in school decision-making processes. Silver 802 Student and family 3 = Yes, both students and family Principal, Explain how families involvement in the school meal members have opportunities to School Wellness Committee and students actively programs and other foods and provide suggestions and Chairperson, provide both beverages sold, served and feedback. PTA Leader, School Food suggestions and offered on school campus: 2 = Yes, both students and family Service/Cafeteria Manager, feedback for school Do students and family members have opportunities to District Food Service Director meals and other foods members have opportunities to provide either suggestions for and beverages sold, provide both suggestions for school meals or feedback on National Advisor: served and offered on school meals and other foods the meal program. Stephanie Joyce school campus (such as and beverages sold, served, 1 = Either students or family Jill Turley participating in a School and offered on school campus members have opportunities, Nutrition advisory and feedback on the meal but not both. council or focus group, programs and other foods and 0 = Neither students nor family or attending a school beverages sold, served, and members have these food show). offered on school campus? opportunities. Gold 803 Family and community access 3 = Yes, community members Principal, Upload the school to school facilities: have access to school School Wellness Committee or districts joint use Do family and community facilities. Chairperson, members have access to 2 = Community members have Custodian, Before and/or After school or shared-use indoor and outdoor school limited access to school staff agreement. facilities outside school facilities. Examples of school hours to participate in or 1 = Community members have National Advisor: joint use conduct health promotion very limited access to school Shannon Vogler agreements: and education programs? facilities, or there is access to indoor or outdoor facilities but Community Use of not to both. Schools Joint Use 0 = Community members do not Agreements and have access to school

facilities. Joint Use: Sharing of School Grounds and Buildings

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